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A plan of care for a patient with a low potassium level includes providing information about the effect of medications and dietary intake of foods high in potassium. How would a nurse measure achievement of an outcome for this plan?
A client with heart failure is prescribed spironolactone (Aldactone). Which information is most important for the nurse to provide to the client about diet modifications? A) Do not add salt to foods during preparation. B) Refrain for eating foods high in potassium. C) Restrict fluid intake to 1000 ml per day. D) Increase intake of milk and milk products.
B. Spironolactone (Aldactone), an aldosterone antagonist, is a potassium-sparing diuretic, so a diet high in potassium should be avoided (B), including potassium salt substitutes, which can lead to hyperkalemia. Although (A) is a common diet modification in heart failure, the risk of hyperkalemia is more important with Aldactone. Restriction of fluids (C) or increasing milk and milk products (D) are not indicated with this prescription.
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7. When teaching a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) about long-term management of the disorder, the nurse determines that additional instruction is needed when the patient says, a. β€œI should weigh myself daily and report any sudden weight loss or gain.” b. β€œI need to limit my fluid intake to no more than 1 quart of liquids a day.” c. β€œI will eat foods high in potassium because the diuretics cause potassium loss.” d. β€œI need to shop for foods that are low in sodium and avoid adding salt to foods.”
ANS: D Patients with SIADH are at risk for hyponatremia, and a sodium supplement may be prescribed. The other patient statements are correct and indicate successful teaching has occurred.
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7. The nurse determines that additional instruction is needed for a 60-year-old patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient says which of the following? a. β€œI need to shop for foods low in sodium and avoid adding salt to food.” b. β€œI should weigh myself daily and report any sudden weight loss or gain.” c. β€œI need to limit my fluid intake to no more than 1 quart of liquids a day.” d. β€œI will eat foods high in potassium because diuretics cause potassium loss.”
ANS: A Patients with SIADH are at risk for hyponatremia, and a sodium supplement may be prescribed. The other patient statements are correct and indicate successful teaching has occurred. DIF: Cognitive Level: Apply (application) REF: 1194 TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
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